Provider Demographics
NPI:1164294120
Name:ZEALOUS DENTAL SPRINGDALE LLC
Entity Type:Organization
Organization Name:ZEALOUS DENTAL SPRINGDALE LLC
Other - Org Name:ZEALOUS DENTAL SPRINGDALE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YUCHUN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHANG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:781-366-5004
Mailing Address - Street 1:5938 WHITECRAIGS CT
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-9635
Mailing Address - Country:US
Mailing Address - Phone:781-366-5004
Mailing Address - Fax:
Practice Address - Street 1:11711 PRINCETON PIKE UNIT 943
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45246-2500
Practice Address - Country:US
Practice Address - Phone:513-214-0206
Practice Address - Fax:513-258-2542
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-24
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental